Individual provider · NPI-1
Rayan Abawan
Behavior Technician · Eden Prairie, MN
NPI number1326756545
StatusActive
Last updated in NPPESNov 7, 2022
Details
- NPI
- 1326756545
- Entity type
- Individual (NPI-1)
- Name
- Rayan Abawan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2022
- Certification date
- Nov 7, 2022
- Last updated
- Nov 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7550 Market Place DrEden Prairie, MN 55344-3636
Phone 651-299-0044
Mailing address
7550 Market Place DrEden Prairie, MN 55344-3636
Phone 651-299-0044
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